Untitled_2917

Applicant IL
State: {Applicant State:2} Date of Application: 04/09/2020 Referred by: Website
First name: {First Name:98} Last name: {Last Name:97} First name 2: {First Name 2:94} Last name 2: {Last Name 2:93}
Street: {Street Address:3}
City: {City:4} State: {State:5} Zip: {Zip:6}

Ages interested in:
 Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:

Previous dog owner?
 Yes
 
Dog 1
 
Dog 1 name:
 {Dog Name (Most recent/ current first):24}
 
Dog description:
 {Description of Dog:25}
 
How long owned?
 {Length of time owned:26}
 
Where is this dog now?
 {Where is this dog now? (Explain if you no longer have the dog):37}
  Dog 2
 
Dog 2 name:
 {Dog Name (Most recent/ current first):30}
 
Dog description:
 {Description of Dog:33}
 
How long owned?
 {Length of time owned:35}
 
Where is the dog now?
 {Where is this dog now? (Explain if you no longer have the dog):39}
  Dog 3
 
Dog 3 name:
 {Dog Name (Most recent/ current first):29}
 
Dog description:
 {Description of Dog:32}
 
How long owned?
 {Length of time owned:36}
 
Where is dog now?
 {Where is this dog now? (Explain if you no longer have the dog):27}
  Dog 4
 
Dog 4 name:
 {Dog Name (Most recent/ current first):28}
 
Dog description:
 {Description of Dog:31}
 
How long owned?
 {Length of time owned:34}
Where is this dog now? {Where is this dog now? (Explain if you no longer have the dog):38}

Who is this dog for?

 This corgi would be for my husband and myself.

Why do you want a Pembroke?
 We have never owned a pembroke welsh corgi before but have always thought they were beautiful dogs. We've always like smaller dogs with big personalities. Our last dog ,a Yorkshire terrier, was a rescue from our local humane society. We had to put him down three years ago at the age of 13. We weren't sure we wanted another dog but we both miss having one.

Activities planned with Pembroke:
 We are snowbirds and reside in FL.in the winter. We take lots of long walks in our community.
Lots of playtime in the house if that's something he/she enjoys. Chip, our last dog loved golf cart rides so that is something else we would do.

Aware that Pembrokes are busy, noisy dogs?
 Yes

Money for basic care?

 Yes

Money for unforeseen medical expenses?
 Yes

Willing to house train?
 Yes
Willing to do formal training? Yes

Do you have a veterinarian?

 Yes

Vet contact info:
 {If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52}

Will handle mistakes Pembroke makes like this: 		I'm not sure how to answer this question. If I were to be lucky enough to be considered , I would consult professionals and definitely be reading materials that were recommended. I can tell you that force and physical punishments would not be used.

Discipline:
 Positive reinforcement ..rewarding good behaviors.

Where would Pembroke spend the majority of the time:
 With us. My husband and I are both retired and have lots of time to devote. He/she would not have to spend their days alone. In Indiana where we live in the summer, we have three acre of land. This is not fenced but lots of outside walk time and cart rides.

Discipline:
 Positive reinforcement ..rewarding good behaviors.
Where would Pembroke spend the majority of the time: With us. My husband and I are both retired and have lots of time to devote. He/she would not have to spend their days alone. In Indiana where we live in the summer, we have three acre of land. This is not fenced but lots of outside walk time and cart rides.

House dog or outside dog?

 House dog

People at home during the day?
 Yes, My husband and I are retired.

Where would dog eat?
 In the kitchen

Where would dog sleep:
 In our bedroom. Our last dog slept in his crate in our bedroom….usually with the door open. He considered it his bed and would often go in it on his own accord.

Play & exercise:
 Like I've said, lots of walks and playing in the house as well.

How will you exercise your dog?
 On leash

Fenced yard?

 No, I don’t have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?

Living arrangements:
 Own home

Landlord info:
 {If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67}

May we contact your landlord?

Lease allow dogs:

Landlord permission:

Restrictive covenants?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 Our Indiana home has three acres with a pond and a creek running through it.
However, none of this is fenced.

Household members:
 {Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75}

Everyone in household agrees about adopting a corgi?
 Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi.

May we do a home visit?

 Yes, I will allow LPWCR representatives to inspect my home prior to allowing me to adopt a Pembroke.

Who will be responsible for the adopted corgi’s care?
 Wilma

Willing to train children?
 My child is grown with two of her own. My grandchildren are 8 and 10. They have a pug, three cats, and three chickens. They are very good with animals.

Any allergies?

 No one is allergic.

Current pets:

{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80}

Current pets dog friendly?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 I have no other pets at this time and only plan on one pet.

Lifetime commitment to Pembroke?

 Yes, I am willing to commit to this dog for the rest of its life.

Return to Lakeshore if unable to care for Pembroke?
 Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it.

Understand no guarantees?

 Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt.

Carefully considered the pluses and minuses of adopting a pet?
 Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences.

Personal references:
 {Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87}